The effectiveness of the combination of Nintendo Wii® and conventional physical therapy in functional independence of post-stroke hemiparetic individuals: a randomized clinical trial
DOI:
https://doi.org/10.33233/fb.v21i5.3960Keywords:
stroke, virtual reality, Physical therapyAbstract
Background: In recent years, there has been a growing interest in the use of non-immersive virtual reality (NIVR) treatment in post-stroke patients. Objective: The objective of this study is to analyze the efficacy of the combination of non-immersive virtual reality through the Nitendo Wii® console and kinesiotherapy in the functional independence of post-stroke hemiparetic individuals. Methods: Blind randomized clinical trial; 48 volunteers randomly grouped, being 57.5% male with an average age of 55.6 years. These were allocated to 3 treatment groups: Virtual Reality Group (VRG), Cinesiotherapy Group (CG) and Virtual Reality and Cinesiotherapy Group (VRCG). Each group with 16 participants, held 16 sessions of 50 minutes each, twice a week for 8 weeks. Functional independence was assessed by the Barthel Modified Index (BMI) pre and post treatment. Results: No significant differences were found with respect to age, gender, stroke time and affected hemibody. The groups were homogeneous in relation to these variables. No statistically significant differences were found between any of the 3 groups (among groups) before treatment compared to the post-treatment in BMI variables. In the intra-group comparison, in some areas of BMI, positive changes were observed, mainly in the groups that used only non-immersive virtual reality. Conclusion: Non-imersive virtual reality as a rehabilitation therapy showed no difference in the level of functional independence of the patients analysed, but this technique in combination with kinesitherapy or alone, or only kinesitherapy, can be used without damage in post stroke hemiparetic patients.
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